Adapting large pretrained vision models to medical image classification is often limited by memory, computation, and task-specific specializations. Parameter-efficient fine-tuning (PEFT) methods like LoRA reduce this cost by learning low-rank updates, but operating directly in feature space can struggle to capture the localized, multi-scale features common in medical imaging. We propose WaRA, a wavelet-structured adaptation module that performs low-rank adaptation in a wavelet domain. WaRA reshapes patch tokens into a spatial grid, applies a fixed discrete wavelet transform, updates subband coefficients using a shared low-rank adapter, and reconstructs the additive update through an inverse wavelet transform. This design provides a compact trainable interface while biasing the update toward both coarse structure and fine detail. For extremely low-resource settings, we introduce Tiny-WaRA, which further reduces trainable parameters by learning only a small set of coefficients in a fixed basis derived from the pretrained weights through a truncated SVD. Experiments on medical image classification across four modalities and datasets demonstrate that WaRA consistently improves performance over strong PEFT baselines, while retaining a favorable efficiency profile. Our code is publicly available at https://github.com/moeinheidari7829/WaRA.

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